HomeMy WebLinkAboutPermit Building 1974-4-12
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LANE COUNTY buiLDING PERMIT OR MOBILE HOME USE PERMIT
BUILDING IX] MH 0 _PER~..\IT NO.
MAILING ADDRESS
Lv92-74
, PROPERTY OWNER
. ~.
~~5tovcr Construction
CONJ,RACTOR '
....i
PHONE
4034 Malo
, MAILING ADDRESS
'~; Spdnlllfield
747-9971
PHONE
sarno
PROPERTY LOCATION - INCLUDE POST OFFICE
, . ~. ... :.:.. .
, PROPERTY LEGAL DESCRIPTION - METES, BOUNqs
1st add to Canterbury L-6. B~l
TWP RANGE SECTION
1.7 03 24,1-1.1
APPl.
NAME Westover Const.
&
TAX LOT NO. CO'DE
Jb 3033
CENSUS TRACT
21-1433
EXISTING' STRUCTURES ON PROPERTY
Canterbury St;
LEGAL ACCESS TO PROPERTY
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY,
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
PROPERTY SIZE - FT.
WIDTH 38 DEPTH 1 02
AREA
Connect to Existing Sewage ,System 0
TYPE CONSTRUCTION SQ, FT. # BDRMS
. ,',
New System 0
VALUATION
r'1a i n
973<1D12 (3)
11.676
second floor
608@9
5.f.~72
GfJraQe. att. unc.
5'28@3.50
1 . 345
113.993
SEWAGE DISPOSAL
PUBLIC 0 SEPTIC TANK ~
BUILDING t
WASTE DISPOSAL
PLUMBiNG
PLAN REVIEW..
PARK TRAILER
OTHERD
71.00
~c; (10,;
40 no
FEES
PLUMBING INSTAllED, BY
OWNER 0 OTHER: NAME
WATER SUPPLY'
.....r _
. PUBLIC' ;[Ut
0, OTHER
MIN. SEPTIC TANK CAPACITY,
WITH DIST. BOX: GAl. 900
~. ,146.00
COUNTY BUIlDING' & SANITATION SPECIFICATIONS
DRAIN FielD REQUIRED
Li~. FT 180 TRENCH WIDTH FT. 2
. OR SQ. ,FT.
360
TOTAL
,Roor Dre.ins, to street.
TYPE OF STRUCTURE
, OCCUPANCY
ZONE
, PUBLIC UTll. EASEMENT
Sf! . I & J
BLDG. SETBACKS '_ FT, FROM CTR,' OF ROAD RIGHT OF WAY'
USE CLASSIFICATION
FRONT 1:.0
REAR 7
SIDE INT, 5 SIDE EXT;
AUTHORIZEDSIGNArURE'- DATE.
'sls J .E.. Boss by Chad ie, Harbau~h
J.H. Shook
DATE
L~-12-74 t>p
BLDG, PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING- GREEN
SANITATION - GOLDENROD
Call 6l;l7~4065 .to schedule all required inspections. All construc-
ti~i1 shall comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface, sewage disposal and' county regulations covering
plumbing.' All buildings require a certificate of occupancy before
being occupied.
(See Details on Reverse,Side)
. ......~;itlf
._>~~..
FOR~ ;ttc 55 - 13
"(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DErT. OF ENVIRONMENTAL MANAGEMENT:
COURTHOUSE ANNEX.. 135 EAST'6th.. EUGENE.. OREGON 974Q1
\
-:,:::.-",'
"
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j
/
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!
SITE INSPECTION
ApPROVED / / DISAPPROVED / / DATE
INSPECTOR
REMARKS
INSPECTOR
VL
~I
FOUNDATION INSPECTION'
/.. ;.)"" 1 zf
ApPROVED / ,. / 01 SAPPROVED ~ / ITE .:J '/
REMARKS f)J(~~~t/'cJ0 ,,?tI .
, I I
~..-
FRAMING INSPECTION ~- /J /J
.",oveo / Y rD'5^,,"OveO / / D'T' {j~'Z1{'7'1 '05"'''0' ~ c!'/
REMAR~S ~,~ ~ ~A'?.hr~~ ~ .-/
drlAf/l)1/~ ~-::l/~"'/# - . "t~
I
LATH OR SHEETROCK INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
FINAL INSPECTIO~
ApPROVED if! DISAPPROVED / / DATE 7....//... 7l('
I NSPECTOrt:!2
<ei
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
/j'c;J-1f ~
~ /1/1
fY J ~.' t' ///b ~~
f/\./ /~r ~
'4/ V
f..~l
....~
I
I
~~;
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED
~ DISAPPROVED
/
REMARKS
GAS PIPING GROUNDWbRK
ApPROVED I
I . DISAPPROVED I
REMARKS
ROUGH PLUMBING
/
DATE f)'-J-74
/
I DATE
DISAPPROVED I I DATE~.;l o.,../~
-~- /
/T;'Y/ ' ,
,. / V
(
ApPROVED If J( I
REMARKS
ROUGH GAS PIPING
ApPROVED I I
DISAPPROVED
REMARKS
F" NAL PLUMB I NG
ApPROVED I J(~ DISAPPROVED I
REMARKS
FINAL GAS PIPING
ApPROVED I
I DISAPPROVED I
REMARKS
CERTIFICATE OF OCCUPANCY
I
I
DATE
INSPECTOR
~,
INSPECTOR
INSPEC~6R' d~:>/
~{/
INSPECTOR
I DATE 7- /-77/ INSPECTOR /{ ~ ~ ,
I DATE
READY TO ISSUE I
I NOT READY TO ISSUE' I
I DATE
REMARKS
INSPECTOR
INSPECTOR
.'
~~
I
DUILUINU
~11t. t.VI-\LUI-\I'IUN
T IZ R Os 5 ;2 'I, tl,/r AX LOT
CENS"!) TRACT, "
i Ccrdrrbvrl/ L.-t g...s
APPLICANT: ~ ~
NAME /t)errbW/ rCh;sl.'
ADDRESS
( -)
( )
( ")
.~ite Inspection
IIA'.
,,..
,(J:S, le/I/,'
B~' I ding Perm i t App I i cat ion No. Cf92- 7tj
~
)
PHONE
DATE
'l/~L?--7V
/ -
<;
,'''-..,
Pre-Permit Investigation,
LIINE COUNTY PLANNING DEPARTMENT
I.
Zoning Ordinance CompJ iance
(Zone-AG-J' )
Subdivision Ordinance Campi iance
NOT
apD 1 icab I e
() ()
( )
( )
( )
( )
NO
YES
N/\M E
DI\TE
')
..J .
Required Access
( )
( )
( )
( )
(~rf1rJ /LAA~:"
~
(,~
(~
(~ ~.,~~~
( )
"'I - y- :;; if
2.
4.
Building Site (Area. Width,
Frontage, Setback)
Other (see comments)
5.
,._-~-----_.
. . ., .
COMMENTS:
BUILDING INSPECTION SECTION NOT NO YES
app I icab 1 e If
6. Plans Subm i tted ( ) ( )
1<0
7. So i 1 Stab i lit y (foot i ngs) ( ) ( )
8. Flood Plain f0 ( ) ( )
9. Other (see Comments) /~ ( ) ( )
COMMENTS:
NAME
DATE
{!.1d~Pf'fi Lj-/f-7fj
t
SANITATION SECTION
10. Sewage Disposal
II. Usable Area
12. Water Supply
13. o t he r (see Comments)
COMMENTS:
NOT
apD I i ~ab I e
() ()
() ()
() ()
() ()
NO ~ 4~rl~~~ ~~ DATE
(I \ ~~\fL
(/ 0~v ,
( )
TO APPLICANT:
( )
( )
( )
Building Permit / Site inspection:
Can be approved.
Cannot be approved at this time as indicated on item NO. above.
Quest ions and further informat ion on items 1 through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT, Questions and further information on items 6
through 13 contact the Lane County Building a:lo Sanitation Division.
Will be held in this office until you can resolve the problems indicated.
Is being returned.
Your building permit applici.ltion fee is being returned under separate Cu'Jer.
L-)~I/ei' .w'
( )
LME COUNTY f'U\NN I NG DEPI\RTMENT
/36' ~i.)(th Av(~nue Ec't!>t, Eugene, ()r~9l>n ~74ol
j?tWN t: 341-- IJ I I E.X I. 231
LANE COUNTY BUILDING & SANITATION DIVISION
135' Sixtk ;'Jv~''Iiue East, EtI~lel1(,. Ol'cCjon 97401
PHO~L: JLI2-/311 OT. l.OJ
-,
---_._~~--_.~"-_...-
-
_____0.__. __.._______.
~
M55-28
...........
)
[ r
PROPOS EO SEWAGE 0 I SPOSAL SYSTEM Rc. .D J./. .... . ~" .
part of form to signature and submit both copies wi~ application. ~.Y
PER .('T NO. J/.9rJ - 7, '
PROPERTY ADDRESS
. f4~'Wl-~/'
Basement '" wate! Sl!,PP ly
Yes No 1 Public ^ Other-List
JS
/
~~STAlLER: compl~e top
II l.tijl~.LLER.' S NA~I/
I ~) IJ1
t1 LiVjgluni, Bed,?oms Ba~hs
Septic Tank:
Ft. from well Steel r=J
Inside Dimensions: Ft.
len9th l'J..... Width 4J/Oiameter
OWNER
NAME
MAiliNG
ADDRESS
SPRINGFIELD, OR. 97477
leJigth.'p 'f l,iines-Ft. , . T~ench~ 1 Total/Sq.
I&02.ho3.604. 5. 6.' Wldth~ Ft.J,-(1) <?J
Plot Plan (see instructions):
WESTOVER CONSTRUCTION
4034 MAIN ST.
Concrete i'V1 No. Compartments
\LlJ. I
. J: ....,.;Ti 1 e D i sposa 1 Field: , 'v
DePth~J 0 i s t r .ibut i on Box: Yes 1\ No
Oth~~/fitri~u~ion-Type
I~~(":;..I -
Feet f~o)R ~
i WE 11 IV I':J l{/'?' /'1 . F oundat ion
Lot Li ne '
Front Side /0 Rear 10
Ft. Between Fill ,arF,Ur i 11 er Depth . Fill er; Be loW
Li nes J 0 ,TVD~,,,,,-...."'Above Ti 1 e Vi, n. Ti 1 e /" in.
Gal. Capacity
I () (P(J.
II)
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1'i3 i- .
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By
JUN241974
fl. ' LANE COUNTY
. . /7 ~/IRONM\ ENTAL MGMT.
.' I '}./.'7 / ) n n_ Ii,z'
Date {.. /' h' f ./ ( 7' Jf- S iqnatureA . M k /) # /l,>~ V-t..-q
( , CERTIFICATE OF SATISFACTORY[ COMPlElitON~ /I. /' h '''.__~ .
For Sanitarian Use Only: f/ (;ate: 'r~ 7"/~r
In accordance with 1973 Oregon Laws Chapter 835, Section 214 this certificate is issued .
as evidence of satisfactory completion of a subsurface sewage disposal system at the above
locatfon. ,'. .
~ Approved: System Installation conforms to current standards
L--J Disapproved: Does not conform to current standards
Rema'rks :
C55-11
~\f\; UJG
Sa~ "tar i an IS S t"gnature
LAN-E COUNTY ,
STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY
I
/
/
/
..
PERMIT
PROPERTY OWNER
W.lVStDcJbv
CONTRACTOR
, LANE COUNTY BUILl: PERMIT 0 R MOBILE HOME USE
TYPE ~ BUILDING ls</ MOBILE HOME Dose REG. #31/1//
\ MAILING ADDRESS
qtJ 3q "?~n,,
MAILING ADDRESS
. 'PLICATION
PERMIT #
IJ92' 7(
PHONE I
7lf}-C;>~7/
PHON,
L<
C<,.....sr eo
S/l-'-k~~a.
, ,
PROPERTY LEGAL DESCRIPTION
LOT - BLOCK - SUBDIV.
TWP RANGE
17
(I
PROPERTY LOCATION - INCLUDE POST OFFICE
I J- ~ rid 1; &~~b,v., y
1-0t-6 IJ k .3
SEC.
2Y-
'-J..
~ 5 '1;,i./ ~ 1..0 ~~
"'-
" (
03
6.-' 'L--bw"7 s r.. ~;:'-PcI,
I ~ j I ' ~ '4- METES & BOUNDS
.;...--' . ?ict;(j...- (.-~"'" l..e,yh/..(,~yI ATTACHED
TAX LOT # CODE CENSUS TRACT
t21~fY-rR
DESCRIBE EXISTING STRUCTURES ON PROPERTY IF""ANY
t:A-... 'f~;.-bf.tA,y 5tr
LEGAL ACCESS TO PROPERTy' - ROAD NAME OR #
DYES
o NO
NAME
t..J .0-" -/6v.....e-v
~o 3 i.f
....~) r;t
&.
APPLICANT
m,t; .~'
MAILING
ADDRESS ,5 /,J--; '>'l~..vIL.
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
ST,fUpU~ES TO BE BUILT THIS PERMIT
.Ma \ r'\
).
:lV\ A/-/lenY
G'vI. '^'6.e.-- Ct -- ~ c.-,
AND
7ft, fS"''(?
DEPTH
102, 1./'1
AREA
PROPERTY SIZE-WIDTH
FEES
OTHER 0
WATER SUPPLY
"PUBLIC ~
PLUMBING FEES
J...l...-FIXTURES @)./g
OTHER
Connect to Existing Sewage System 0 or New System Req. 0
TYPE CONSTRUCTION SQ, FT. # ~EDROOMS VALUATION
9'7'1..@IZ- 1/ 67b
6 D-r@, Cf 'i-!fz2
52'lUV'~j5~/f IJ tti5
Y q
,if i t't q g
I'
OWNER U OTHER 0 NAME /'
PLANS FURNISHED j' FACILITY PERMIT
YES~ NO 0 YESk( NO 0
~URE APPlIC.AW ._,A ' . DATE
. "dJ~____----
FEE R:CE ED~ QQ.., . DATE
PERMIT '#
,PLUMBING INSTALLED BY
SEWAGE DISPOSAL
PUBLIC 0
SEPTIC TANK
1&
BLDG.
WASTE DIS.
PLUMBING
PLAN REVIEW
PARK TRLR,
$
7/.
3<.
40. -
"
TOTAL
m. -
CASH 0 SE~'
CHECK L'l,.Cc)NNECTION FEE
PUBLIC WATER
CONNECTION FEE
3b,
2-:,
2.....
COUNTY BUILDING & SANITATION SPEC!iICAJiONS
MIN, SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED 1_/
WITH DIST. BOX: GAl. q 0 D lIN. FT, J <6 0 TRENCH' WIDTH FT.l;( OR SQUARE FEET
RDI s' t/tJo/)dm/as ICJ S7n~t!,I)-
,r'
"Arb 0
/'
/
.~/
TYPE OF' STRUCTURE 0N OCCUPANCjot:::f'
BLDG. SETBACKS - FT, FROM CTR, OF ROAD RIGHT OF WAY
~Z~T R~ ~ 1\ SIDrE/N~al::-;~::E EXT,
\\ ';f::::::.\JcJJ,Ji/'l/7L/ ~ fI- 1/-7 t/
l).(' ,.. - - ,
ZONE
REAR YARD
PU BlIC UTll. EASEMENT
USE CLASSIFICATION
Dale
REAR ?
BLDG. INSP.
ft~ .~ ffIh! ~, I ! <> l1il
if (- (I I
Dale
Directions to Find Property:
COpy 1 - OFFICE
COPY 2 - JOURNAL
COPY 3 - AUDIT
Form # C55-12